Abstract
The influence of rebleeding due to ruptured cerebral aneurysm on results of their treatment was investigated.
The study included 414 cases of ruptured aneurysms admitted to our clinic within 48 hours after the last bleeding. They were divided into two groups : admitted after “Initial bleeding”, 278 cases and “Rebleeding” 136 cases. In these two groups the patient's condition on admission, the results of treatment and the timing of rebleeding were investigated.
As the results, the patient's condition on admission (Hunt and Kosnik's grading) was better in “Initial bleeding” group than in “Rebleeding” group significantly. Operative and overall results were better in “Initial bleeding” group also. There was no significant difference of results of treatment between two groups in cases of same condition.
In “Rebleeding” group the timing of rebleeding was analysed and many rebleeding (71%) occured within 24 hours, especially (55%) within 6 hours after the initial bleeding.
It is concluded that the prevention of rebleeding in ultra-early stage is the most important in the treatment of ruptured cerebral aneurysms.
